uterine and ovarian pathology review 21 Flashcards
1
Q
Abnormal accumulation of blood within the vagina is termed: A. Hydrometra B. Hematometra C. Hydrocolpos D. Hematocolpos
A
D.Hematocolpos
2
Q
Risk factors associated with developing endo carcinoma include:
A. Anorexia, multiparity, hypertensiom
B. Obesity, diabetes mellitus, nulliparity
A
B
3
Q
Hypervascuilarity within the endo is a characteristic finding in: A. Endometriosis B. Adenomyosis C. Ashermen syndrome D. Endometrial hyperplasia
A
A
4
Q
The most common ovairan malignancy occuring in childhood is a: A. Fibroma B. Thecoma C. Dysgerminoma D. Brenner tumor
A
C
5
Q
Which of the following is a common clinical symtpom associated with adenomyosis: A. Amenorrhea B. Lower back pain C. Urinary frequency D. Uterine tenderness
A
D
6
Q
A 50 year old patient presents w historu of abd distention. In the left adnexa, a 10 cm multilocular mass is identified. The mass most likely represents: A. Cystic adenoma B. Cystic teratoma C. Theca luten cysts D. Polycystic disease
A
A
7
Q
The most common location for a uterine leiomyoma to develope is: A. Serosal B. Subserosal C. Intramural D. Sunbmucosal
A
C
8
Q
Inability to distinguish the endo cavity is an indentifiable sonographic finding in: A. Infertility B. Tamoxifen therapy C. Asherman syndrome D. Polycystic ovarian disease
A
C
9
Q
Ovarian torsion is commonly associated with a coexisting: A. Uterine mass B. Hydroslapinx C. Adnexal mass D. Ectopic pregnancy
A
C
10
Q
Tamoxifen therapy is most likely to affect which of the following structures? A. Cervix B. Ovaries C. Myometrium D. Endometrium
A
D
11
Q
A reproductive age patient demonstrates a complex adnexal mass with diffusely bright internal echoes. These sonographic findings most likely describe: A. Dysgerminoma B. Cystic teratoma C. Hemorrahagic cyst D. Cystadenomacarcinoma
A
B
12
Q
The most common location of a cystic teratoma is: A. Lateral to the cervix B. Anterior to the fundis C. Superior to the fundus D. Adjacent to the isthmus
A
C
13
Q
An obstruction of an inclusion cyst result in an A. Nabothian cyst B. Cystic teratoma C. Endometrial polyp D. Serous cystadenoma
A
A
14
Q
A fibrodid is most likely to cause irregular uterine bleeding in which location \: A. Cervical B. Subserosal C. Intramural D. Submucosal
A
D
15
Q
Polycystic ovarian disease can result from: A. High levels of hcg Unopposed estrogen C. An endocrine imbalance D. Follicular hyperstimulation
A
C
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21
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22
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23
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31
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32
Q
Which of the following describe the typical somographic apperance of asherman syndrome?
A. Diffuse uterine enlargemnt
B. Discrete hypoechoic myometrial mass
C. Inability to distinguish an endometrial cavity
D. Hypoechoic irregularity to the endometrial
A
C
33
Q
A coexisting adnexal mass is commonly associated with which of the following ovarian pathologies A. Cystadenoma B. Dysgerminoma C. Cystic teratoma D. Ovarian torsion
A
D
34
Q
Hirsutism is a clinical symptom of: A. Endometriosis B. Hematometrocolpos C. Ashermen syndrome D. Polycystic ovarian disease
A
D
35
Q
A rapid increasing pelvic mass is most suspicious for an: A. Leiomyoma B. Cystadenoma C. Endometrioma D. Cystic teratoma
A
B
36
Q
A small cluster of ovarian cysts is a common sonographic finding associated w:
A. Theca lutein cysts
B. Cystadenocarcinoma C. Surface epithelial cysts
D. Ppolycystic ovarian disease
A
C
37
Q
Which of the following fibroid locations is most likely to cause menorrhagia A. Cornual B. Intramural C. Subserosal D. Submucosal
A
D
38
Q
Which of the following ovarian neoplasms demonstrates sonographic characteristics similar to a leiomyoma A. Thecoma B. Fibroma C. Dysgerminoma D. Cystic tertoma
A
B
39
Q
Multiple serpentine vascular structures within the myometrium in a pt complaining of abnormal bleeding following a recent dilation curettage procedure is most suspicious for which of the following abnormalities: A. Adenomyosis B. Endometriosis C. Artriovenous fistula D. Asherman syndrome
A
C
40
Q
Sonographic apperance of ovarian carcinoma is generally described as an: A. Irregular hypoechoic ovarian mass B. Smooth hyperechoic ovarian mass C. Irregular hypoechoic adnexal mass D. Irregular hyperechoic ovarian mass
A
A
41
Q
If a pt displays an endometrial thickness of 2.0 cm it is considered:
A. Suspicious for adenomyosis
B. Within normal limits in a menarche pt
C. Suspicious for proliferation of the endo
D. Within normal limits regardless of menstrual status
A
C
42
Q
Which of the following ovarian abnormalities may contain skin and hair: A. Dysgerminoma B. Cystic teratoma C. Granulosa cell tumor D. Mucinous cystadenoma
A
B
43
Q
Multiparity is a risk factor associated w which of the following abnormalities: A. Adenomyosis B. Endometriosis C. Nabothian cyst D. Mucinous cystadenoma
A
A
44
Q
Which of the following ovarian neoplasms will most likely demonstrate posterior acoustic shadowing: A. Fibroma B. Thecoma C. Dysgerinoma D. Brenner tumor
A
B
45
Q
A pt presents w a history of an intramural leiomyoma. An intramural leiomyoma: A. Alters perimetrium B.distorts the endo C.distorts the myometrium D.extends into the endo
A
C
46
Q
A garner cyst is located within the uterus? A. Uterus B. Cervix C.vagina D.oviduxt
A
C
47
Q
A pt presents w a history of postmenopausal bleeding. A heterogenous intrauterine mass is identified on aonography. On the basis of the clinical history the sonographic findings are most suspicious for: A. Leiomyoma B. Endometrioma C. Leiomyosarcoma D. Endometrial hyperplasia
A
C
48
Q
Which of following is the most common benign ovarian neoplasm? A. Firbroma B.cystoadenoma C. Cystic teraroma D. Endometrioma
A
C
49
Q
An ill defined, multilocular, complex ovarian mass is most suspicious for: A. Cystademona B. Theca lutein cysts C. Cystadenocarcionma D. Granulosa cell tumor
A
C
50
Q
An ovrian mass combined w a pleural effusion and ascites resolving after surgery is known as: A. Meigs syndrome B. Turner syndrome C. Asherman syndrome D. Stein leventhal syndrome
A
A
